Preapplication Form

Preapplication Form

Applicant Information

Project / Preapplication Details

Submission Date:    Preapplication Reference Number:

Recitals

WHEREAS, Applicant seeks an initial review and provisional acceptance of the project described above for the purpose of evaluating feasibility, scope, and preliminary costs; and

WHEREAS, Provider may perform preliminary consultation, analysis, and cost estimation (collectively, the Preapplication Services) to inform formal application requirements and does so under the terms set forth in this Preapplication Form; and

WHEREAS, the parties intend for this Preapplication Form to set forth the preliminary scope, cost estimate, confidentiality obligations and mutual understandings pending execution of any subsequent definitive agreement.

Scope of Work

Payment Terms

Total Estimated Fee:

Late Fee:    Payment Due Days:

Term and Termination

Term Commencement Date:    Term Expiration Date:

Either party may terminate this Preapplication Form for convenience upon written notice to the other party. Notice period (days):

Upon termination, Applicant shall pay Provider for all Preapplication Services performed and bona fide costs incurred through the effective date of termination, calculated in accordance with the Payment Terms above.

Confidentiality

All non-public information exchanged in connection with this preapplication, whether oral or written and marked or identified as confidential, shall be held in confidence by the receiving party and used solely for purposes of evaluating and performing the Preapplication Services. Confidential information does not include information that: (a) is or becomes publicly known other than by breach of this obligation; (b) is rightfully received from a third party without restriction; or (c) is independently developed without use of the other party's confidential information.

Governing Law

This Preapplication Form shall be governed by and construed in accordance with the laws of:

Representations, Entire Agreement and Miscellaneous

Each party represents that it has the full power and authority to enter into this Preapplication Form. Applicant represents that the information provided in this form is accurate to the best of Applicant's knowledge and that Applicant will promptly advise Provider of any material changes.

This Preapplication Form constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior oral or written communications on the same subject. No amendment or waiver shall be effective unless in writing and signed by both parties.

Applicant Certification

By signing below, Applicant certifies that the information provided in this Preapplication Form is true and complete, understands that Provider may rely on this information in performing preliminary services, and agrees to the terms and conditions set forth herein.

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